Laparoscopic Morgagni Hernia Repair
Minhao Zhou, MD, John J Kelly, MD. UMass Memorial Medical Center IntroductionMorgagni hernia is a rare congenital diaphragmatic hernia with a variety of surgical approaches to repair both transthoracic and transabdominal. We present a video of our laparoscopic approach. Methods and ProceduresA 37 year old obese female presents with 2 year history of worsening shortness… Continue Reading
- Topic:
- Abdominal Wall Hernias
Foramen of Morgagni Hernia: Laparoscopic Patch Repair
Thomas Ng, MD, Beth Ryder, MD, Shair Ahmed, MD. Brown University, Rhode Island Hospital Introduction:Foramen of Morgagni hernias are extremely rare. Most are asymptomatic and found incidentally, however may present with vague non-specific abdominal complaints. Upon diagnosis, operative intervention should be undertaken for the risk of incarceration and strangulation. Repair should include complete sac excision… Continue Reading
- Topic:
- Abdominal Wall Hernias
The Natural History of Anatomic Failure After Laparoscopic Paraesophageal Hernia Repair
Nathaniel Stoikes, MD, Mary Quasebarth, RN, Brent Matthews, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, MO Introduction: Anatomic failure after laparoscopic paraesophageal hernia (PEH) repair ranges from 20-40%. However, the clinical significance of these recurrences has not been clearly delineated. We reviewed… Continue Reading
The Effect of Laparoscopic Paraesophageal Hernia Repair On Pulmonary Function Test
S. Alnassar ALNASSAR, MD FRCSC, J.Kondra Kondra, MD, J.Clifton Clifton, MSC, R. J Finley Finley, MDFRCSC. College of Medicine , King Saud University Riyadh , Saudi Arabia Objective: A retrospective cohort study was conducted to examine the impact of laparoscopic paraesophageal hernia repair on the pulmonary function test (PFT). Methods: Between 2001 and 2005 there… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Pledgeted Repair of Large Hiatal Hernia Provides Excellent Long Term Results
T kang, MD, H Urrego, MD, A Gridley, MD, W S Richardson, MD. Ochsner clinic foundation Introduction: To reduce recurrence large hiatal hernias are commonly repaired with mesh. There have been few papers on long term follow up of large hiatal hernias with pledgeted (non-mesh) repairs.Methods: All laparoscopic anti-reflux procedures done at Ochsner Medical Center… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Comparative Study of Different Types of Mesh for Laparoscopic Repair of Large Hiatal Hernias
V.V. Grubnik, Prof, A.V. Malynovskyy, V.V. Ilyashenko. Odessa State Medical University Background. The use of mesh for laparoscopic repair of large hiatal hernias may reduce recurrence rates compared to primary suture repair. However, there is a potential risk of mesh-related oesophageal complications due to prosthetic erosion. The aim of this study was to compare effectiveness… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Previous Hiatal Mesh Is Associated with Significant Morbidity After Laparoscopic Revisional Paraesphageal Hernia Repair (pehr)
Vladan N Obradovic, MD, Horatiu C Dancea, MD, Aamir Akmal, MD, Wai M Yeung, MD, Mohanbabu Alaparthi, MD, Jon D Gabrielsen, MD, Anthony T Petrick, MD. Geisinger Medical Center - Danville, PA Introduction: Recent studies have suggested increased morbidity associated with revisional foregut surgery utilizing mesh reinforcement. Optimizing the outcome of revisional PEHR remains a… Continue Reading
Does Preoperative Ugi Predict Hiatal Hernia Presence During Laparoscopic Adjustable Band Placement?
Lane A Ritter, MD, Joseph Broucek, Minh Luu, MD, Khristi Autajay, RN LDN, Jonathan A Myers, MD. Rush University Medical Center BACKGROUNDHiatal hernia has long been an entity associated with morbid obesity. It has been reported that as many as 50% of upper gastrointestinal (UGI) series done prior to bariatric procedures reveal the presence of… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Reduction of Paraduodenal Hernia in Adults
A Bernshteyn, I Fendrich, M Gianos, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Paraduodenal hernias in adults are rare. We present a case that underwent reduction via laparoscopy.Methods: A 39 year old male with new onset of severe abdominal pain presented to the ER with clinical signs and symptoms of bowel obstruction. The… Continue Reading
- Topic:
- Abdominal Wall Hernias
Is It Time to Consider Lagb + Hiatus Hernia Repair a Possible Solution for Overweight with Mechanical Ger?
Matt B Martin, MD, Ben T Hoxworth, MD, Kristen R Earle, MD, David H Newman, MD. Moses Cone Health Systems, Greensboro, NC 27401 Introduction LAGB with hiatus hernia repair may be a successful procedure for mechanical GER as well as obesity. Placement of a laparoscopic adjustable gastric band (LAGB) in a patient with an underlying… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Hernias Causing Post Operative Bowel Obstruction Following Roun En Y Gastric Bypass
Yagnik Pandya, MD, Donald Hess, MD, Brian Carmine, MD. Boston Medical Center Hiatal hernias are often encountered in obese patients undergoing weight loss surgery. Current practice trends, while performing a gastric band include vigilant exploration and repair of any diaphragmatic hiatal defects encountered intra operatively. This is not yet widely advocated during gastric bypass procedures,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Impact On Perioperative Outcomes of Concomitant Hiatal Hernia Repair with Laparoscopic Gastric Bypass
Vishal M Kothari, MD, Oleg Dolghi, MD, Jason F Reynoso, MD, Elizabeth M Schmidt, MD, Dmitry Oleynikov, MD. University of Nebraska Medical Center, Omaha, NE. BACKGROUND: Laparoscopic hiatal hernia repair (LHHR) during laparoscopic Roux-en-y gastric bypass (LRYGB) is controversial, and data on this topic is limited. In this study, the safety of concomitant LHHR with… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Triad of Trouble: CT Findings to Help Diagnose Internal Hernia Post-Gastric Bypass
Nicole A Kissane, MD, Garry Choy, MD, Denis W Gee, MD, Matthew M Hutter, MD MPH, David W Rattner, MD, Janey S Pratt, MD. Department of Surgery, Massachusetts General Hospital INTRODUCTION: Abdominal pain after gastric bypass is a common complaint and etiology can be difficult to identify. While some causes are non life-threatening, others such… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Resection of Ge Junction Due to Stricture Post Hiatal Hernia Repair with Circumferential Biologic Mesh
A Bernshteyn, I Fendrich, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Background: Esophageal strictures after repair of hiatal hernias with mesh are a rare but devastating complication. We present the case of a patient that developed a mesh erosion and distal esophageal stricture requiring laparoscopic resection of the GE junction Methods: A 70 year… Continue Reading
- Topic:
- Abdominal Wall Hernias
Robotic and Laparoscopic Inguinal Hernia Repair – A Case-Matched Study
Tammy T Chang, MD PhD, Francesco Palazzo, MD, Quan-Yang Duh, MD. University of California, San Francisco, San Francisco, California, USA INTRODUCTION: Laparoscopic inguinal hernia repair has certain advantages over open repair, including less post-operative pain and earlier return to normal activity. However, a prolonged surgeon learning curve has limited its more generalized application. Robotic-assisted surgery… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias